Organization
DEPARTMENT OF HEALTH, PUBLIC HEALTH DIVISION
Active
Other names
Childrens Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA LOPEZ (CLAIMS MANAGER)
(505) 827-0664
Entity
Organization
Contact information
Practice address
1190 S SAINT FRANCIS DR, S1073, SANTA FE, NM 87505-4173
(505) 827-0664
(505) 827-2329
Mailing address
1190 S SAINT FRANCIS DR, SANTA FE, NM 87505-4173
(505) 827-0664
(505) 827-2329
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
E7576
—
NM
Enumeration date
09/25/2008
Last updated
09/25/2008
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